| Community Connections | |
|
721 Stedman St Ketchikan AK 99901-6632 | |
| (907) 220-6117 | |
| Not Available |
| Full Name | Community Connections |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 721 Stedman St, Ketchikan, Alaska |
| Authorized Official Name and Position | James Johnson (QUALITY ASSURANCE COORDINATOR) |
| Authorized Official Contact | 9072206117 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Connections 721 Stedman St Ketchikan AK 99901-6632 Ph: (907) 220-6117 | Community Connections 721 Stedman St Ketchikan AK 99901-6632 Ph: (907) 220-6117 |
| NPI Number | 1255079638 |
|---|---|
| Provider Enumeration Date | 05/25/2022 |
| Last Update Date | 05/25/2022 |
| Certification Date | 04/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255079638 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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